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Dietary insufficiency is another significant cause, particularly among strict vegans and vegetarians, as vitamin B12 is naturally found almost exclusively in animal products including meat, fish, eggs, and dairy

These commenters expressed concern about boarding times for high-risk groups, such as patients admitted to intensive care units and adults aged 65 and older

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If you are using a vial, you will also need your bacteriostatic water and appropriate syringe with needle (typically 27-30 gauge, 1/2 inch for most adults)